Evidence map›Paper›PMID 31937665›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

Predicting high-risk opioid prescriptions before they are given.

Justine S Hastings, Mark Howison, Sarah E Inman

Open access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 52 citations in OpenAlex.

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  9. Individualized Prospective Prediction of Opioid Use Disorder.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023
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  18. Predicting high-risk opioid prescriptions before they are given.Proceedings of the National Academy of Sciences of the United States of America · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Justine S HastingsResearch Improving People's Lives, Providence, RI 02903; connect@ripl.org.
Mark HowisonResearch Improving People's Lives, Providence, RI 02903.ORCID 0000-0002-0764-4090
Sarah E InmanResearch Improving People's Lives, Providence, RI 02903.
Providence College · USNational Bureau of Economic Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Misuse of prescription opioids is a leading cause of premature death in the United States. We use state government administrative data and machine learning methods to examine whether the risk of future opioid dependence, abuse, or poisoning can be predicted in advance of an initial opioid prescription. Our models accurately predict these outcomes and identify particular prior nonopioid prescriptions, medical history, incarceration, and demographics as strong predictors. Using our estimates, we simulate a hypothetical policy which restricts new opioid prescriptions to only those with low predicted risk. The policy's potential benefits likely outweigh costs across demographic subgroups, even for lenient definitions of "high risk." Our findings suggest new avenues for prevention using state administrative data, which could aid providers in making better, data-informed decisions when weighing the medical benefits of opioid therapy against the risks.

Indexed as

AlgorithmsAgedAnalgesics, OpioidDrug PrescriptionsFemaleHumansMachine LearningMaleMiddle AgedOpioid-Related DisordersPractice Patterns, Physicians'Predictive Value of TestsPrescription Drug MisuseRhode IslandRisk AssessmentAnalgesics, Opioidadministrative dataevidence-based policymachine learningopioidspredictive modeling

Identifiers

PMID31937665
PMCPMC6994994
OpenAlexW2942500503

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.